OrganizationActive
John M. Shader DMD, PC
NPI 1356578421 · General Practice Dentistry · Lebanon, OR
Provider details
- NPI number
- 1356578421
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Patricia Shader, Office Manager/ Owner(541) 451-1176
- License
- D6442 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
100 E Oak St
Lebanon, OR 97355-4135
Phone: (541) 451-1176
Fax: (541) 451-1424
Street-level locationGet directions
Mailing address
100 E Oak St
Lebanon, OR 97355-4135
Other names (DBA / former)
- Former legal business name
- John M. Shader, DMD
Registry dates
- Enumerated
- 2009-06-16
- Last updated
- 2009-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.